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A review on the relation between simulation and improvement in hospitals
Wineke Am van Lent1, Peter Vanberkel, Wim H van Harten
1Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Division of Psychosocial Research and Epidemiology, Amsterdam, The Netherlands. w.v.lent@nki.nl
BMC Medical Informatics and Decision Making
|March 16, 2012
Summary
Simulation studies in hospital operations management show low implementation rates. This review examines execution, evaluation methods, and factors influencing recommendation implementation to improve future project success.
Area of Science:
- Operations Management
- Healthcare Systems Engineering
- Simulation Modeling
Background:
- Simulation applications in hospital operations management are common but yield low implementation rates.
- The actual impact of simulation-driven recommendations is seldom evaluated.
- This study investigates the execution and evaluation of simulation recommendations in hospitals.
Purpose of the Study:
- To determine the execution rate of simulation study recommendations in hospitals.
- To analyze the research methods used for evaluating recommendation implementation.
- To identify factors influencing implementation success and differences between literature and practice.
Main Methods:
- A comprehensive literature review of stochastic simulation in hospital operations management (1997-2008) from PubMed and Business Source Elite.
- Inclusion of 89 papers, with data extraction using a scoring list by two independent reviewers.
- Validation of findings through a survey distributed to original authors.
Main Results:
- Only 16 hospitals partially implemented recommendations, with limited reporting on results.
- Factors promoting implementation include technical quality (data, validation), process quality (client involvement), and outcome quality (results presentation).
- Survey results indicated a 61% response rate from traceable authors, with 18 partially implementing recommendations.
Conclusions:
- Implementation of simulation recommendations in hospital operations management is limited, despite being underreported.
- Recommendations are provided for enhancing project design, implementation conditions, and evaluation methodologies.
- Improving these aspects can increase the successful application of simulation studies in healthcare settings.
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